Deep cutaneous ulcers and sinus formation in an immunocompetent adult
An. bras. dermatol
;
94(6): 744-746, Nov.-Dec. 2019. graf
Article
in English
| LILACS
| ID: biblio-1054899
ABSTRACT
Abstract This report describes a case of unusual deep skin ulcers with tortuous sinus tract formation in an immunocompetent woman. She was initially diagnosed with a Staphylococcus aureus skin infection and histopathologically diagnosed with pyoderma gangrenosum. However, culture from the deep end of ribbon gauze inserted into the subcutaneous sinus tract revealed shiny, light-yellow mucoid colonies, which were identified as Cryptococcus neoformans var. grubii. She was treated with fluconazole for nine months and completely healed. Cryptococcosis is an opportunistic infection caused by variants of C. neoformans species. Cutaneous manifestations of cryptococcosis are quite divergent, rarely occurring as deep skin ulcers with sinus formation.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Skin Ulcer
/
Cryptococcosis
/
Cryptococcus neoformans
/
Dermatomycoses
/
Immunocompetence
Type of study:
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
An. bras. dermatol
Journal subject:
Dermatology
Year:
2019
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Zhejiang University/CN
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